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NPI Code Detail

MEDICARE: MS. JULIE BORDONARO M.C.D. CCC/SLP

MEDICARE:  MS. JULIE  BORDONARO  M.C.D.  CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist3344LA

General Provider Information

NPI Number : 1669838488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE BORDONARO M.C.D. CCC/SLP
Provider Business Mailing Address
First Line : 664 ROSA AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70005-2849
Country : US
Telephone Number : 504-832-5111
Fax Number :
Provider Business Practice Location Address
First Line : 664 ROSA AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70005-2849
Country : US
Telephone Number : 504-832-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2016
Last Update Date : 01/08/2016

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Directions to “ MS. JULIE BORDONARO M.C.D. CCC/SLP” Practice Location

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